Article

An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage.

Department of Obstetrics and Gynecology, the Affiliated Hospital of Medical College, Qingdao University, People's Republic of China.
American journal of obstetrics and gynecology (impact factor: 3.28). 10/2010; 204(1):31.e1-7. DOI:10.1016/j.ajog.2010.08.048 pp.31.e1-7
Source: PubMed

ABSTRACT We sought to evaluate a conservative treatment modality, angiographic uterine artery embolization (UAE) followed by immediate curettage, in the treatment of cervical pregnancy.
Sixteen patients with cervical pregnancy were first treated by UAE to control or prevent vaginal bleeding. Curettage of cervical canal was performed immediately after UAE to remove gestational tissue from the cervix. Clinical outcome assessments include vaginal bleeding, serum β-human chorionic gonadotropin level, cervical mass, menstruation, fertility, and hospitalization time.
Fifteen patients were successfully treated by UAE followed by immediate curettage. One patient at very early gestational age underwent UAE only. Quick regression of serum human chorionic gonadotropin level and cervical mass, fertility preservation, and a short hospital stay were observed.
UAE followed by immediate curettage is an efficient conservative treatment for cervical pregnancy. This procedure may become a useful alternative to other conservative approaches.

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Keywords

angiographic uterine artery embolization
 
cervical canal
 
cervical mass
 
cervical pregnancy
 
cervix
 
Clinical outcome assessments
 
conservative approaches
 
conservative treatment modality
 
efficient conservative treatment
 
gestational tissue
 
hospitalization time
 
immediate curettage
 
menstruation
 
patients
 
Quick regression
 
serum human chorionic gonadotropin level
 
serum β-human chorionic gonadotropin level
 
short hospital
 
useful alternative
 
vaginal
 

Yankui Wang